UNIVERSITY OF PENN-MEDICAL GROUP (NPI# 1821451139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821451139 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF PENN-MEDICAL GROUP |
| Practice Address |
554 N Duke St 3rd Floor Renal Transplant Lancaster PA 17602-2225 |
| Practice Telephone | 2156626200 |
| Practice Fax Number | 2153455703 |
| Mailing Telephone | 2156626200 |
| Mailing Fax Number | 2153455703 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2156627583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396193900 | University of Penn-medical Group | Transplant Surgery | 1501 N Cedar Crest Blvd, Suite 110 Liver Transplant, Allentown, PA 18104-2309 | 2016-05-25 |
| 1902269210 | University of Penn-medical Group | Surgery | 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 | 2016-04-04 |
| 1043670805 | University of Penn-medical Group | Internal Medicine | 554 N Duke St, 3rd Floor Gi Transplant, Lancaster, PA 17602-2225 | 2016-03-07 |
| 1730578667 | University of Penn-medical Group | Internal Medicine | 3400 Spruce St, Ground Floor Donner, Philadelphia, PA 19104-4238 | 2015-01-15 |
| 1073902169 | University of Penn-medical Group | Dermatology | 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104-4238 | 2015-01-13 |
| 1184012569 | University of Penn-medical Group | Clinical Medical Laboratory | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2015-01-07 |
| 1821486846 | University of Penn-medical Group | Marriage & Family Therapist | 3535 Market St, 3rd Floor, Philadelphia, PA 19104-3309 | 2014-12-29 |
| 1740678762 | University of Penn-medical Group | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2014-12-29 |
| 1811385834 | University of Penn-medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 51 N 39th St, 266 Wright Saunders, Philadelphia, PA 19104-2640 | 2014-12-29 |
| 1275921298 | University of Penn-medical Group | Surgery | 51 N 39th St, Mob Suite 120, Philadelphia, PA 19104-2640 | 2014-12-29 |
| Street Address |
554 N DUKE ST 3RD FLOOR RENAL TRANSPLANT |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688663 | Karen Anne Suppi | Nurse Anesthetist, Certified Registered | 554 N Duke St, Ste.2, Lancaster, PA 17602-2225 | 2005-06-09 |
| 1508415761 | Marissa Thomas | Counselor | 554 N Duke St, Lancaster, PA 17602-2225 | 2019-09-10 |
| 1619447927 | Chelsea Varner | Physician Assistant | 554 N Duke St, Lancaster, PA 17602-2225 | 2018-11-29 |
| 1902269210 | University of Penn-medical Group | Surgery | 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 | 2016-04-04 |
| 1043670805 | University of Penn-medical Group | Internal Medicine | 554 N Duke St, 3rd Floor Gi Transplant, Lancaster, PA 17602-2225 | 2016-03-07 |
| 1245504422 | Lancaster General Medical Group | Surgery | 554 N Duke St, Lancaster, PA 17602-2225 | 2012-03-06 |
| 1538328653 | Lancaster General Hospital | Family Medicine | 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 | 2008-06-04 |
| 1780883819 | Milorad Marjanovic | Surgery | 554 N Duke St, Lancaster, PA 17602-2225 | 2007-07-18 |
| 1588873632 | Alisha Arora | Plastic Surgery | 554 N Duke St, Lancaster, PA 17602-2225 | 2007-05-22 |
| 1265578314 | Lancaster General Hospital | Psychologist | 554 N Duke St, 3rd Floor, Lancaster, PA 17602-2225 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871836205 | Dean Campbell | Internal Medicine | 2110 Harrisburg Pike Ste 310, Lancaster, PA 17601-2644 | 2013-04-04 |
| 1689849986 | Abraham Paykar Md, Inc | Internal Medicine | 1601 W Avenue J Ste 203, Lancaster, CA 93534-2824 | 2008-04-28 |
| 1609989284 | Vijaya Venkataraman | Internal Medicine | 618 Pleasantville Rd Ste 103, Lancaster, OH 43130-3325 | 2006-08-16 |
| 1821066325 | Ghassan S Dahhan | Internal Medicine | 1759 W Avenue J, #101, Lancaster, CA 93534-2703 | 2006-03-09 |
| 1316913403 | Alisa Bell | Internal Medicine | 233 College Ave Ste 301, Lancaster, PA 17603 | 2006-02-27 |
| 1114903762 | Abraham Paykar | Internal Medicine | 1601 W Avenue J, Suite 203, Lancaster, CA 93534-2824 | 2005-12-15 |
| 1326039405 | Vinay A Sunku | Internal Medicine | 43932 15th St W Ste 101, Lancaster, CA 93534-5234 | 2005-10-28 |
| 1083192850 | Pinnacle Health Regional Physicians | Internal Medicine | 233 College Ave Ste 301, Lancaster, PA 17603-3372 | 2018-08-02 |
| 1528499753 | Cheryl Good | Internal Medicine | 2112 Harrisburg Pike, Suite 312, Lancaster, PA 17601-2644 | 2013-12-13 |
| 1205273695 | Rachel Lacy | Internal Medicine | 2110 Harrisburg Pike Ste 310, Lancaster, PA 17601 | 2013-05-27 |
| Find all providers in LANCASTER | ||||
Please comment or provide details below to improve the information on UNIVERSITY OF PENN-MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.